Organization · NPI-2
3d Endodontics
Dentist, Endodontics · Renton, WA
NPI number1316447758
StatusActive
Last updated in NPPESFeb 12, 2018
Details
- NPI
- 1316447758
- Entity type
- Organization (NPI-2)
- Legal business name
- 3d Endodontics
- Organization subpart
- No
- Enumeration date
- Feb 12, 2018
- Last updated
- Feb 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | – | – | Yes |
Practice location
451 Duvall Ave Ne Ste 120Renton, WA 98059-4675
Phone 720-470-6767
Mailing address
11302 Se 79th PlNewcastle, WA 98056-9124
Phone 720-470-6767
Authorized official
Helena Becker
Manager
7204706767
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